Individual provider Active NPI

Joanne Coyle, PSYD

  • Clinical Psychologist
  • Jeffersonville, PA
National Provider Identifier
1508312547
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS018063 Issued in PA
Practice address
2076 W Main St
Jeffersonville, PA 19403-3067
Phone
(484) 213-4513
Fax
(610) 539-3024
NPI assigned
Aug 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 35S100579200 NJ
Clinical Psychologist 103TC0700X PS018063 PA Primary

Addresses

Primary practice location

2076 W Main St
Jeffersonville, PA 19403-3067

Mailing address

2076 W Main St
Jeffersonville, PA 19403-3067
Phone (484) 213-4513

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190228000658 NJ Practitioner - Clinical Psychologist 4688962079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ocean Point Counseling, LLCGroup PAC ID 1850630351, 2 clinicians

Practice addresses (Care Compare)

1228 Asbury Ave
Unit a
Ocean City, NJ 08226-3234
Phone (609) 231-3569

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35S100579200NJMDClinical Psychologist
PS018063PAMDClinical Psychologist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1508312547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2076 W MAIN ST",
            "city": "JEFFERSONVILLE",
            "state": "PA",
            "postal_code": "194033067",
            "telephone_number": "484-213-4513",
            "fax_number": "610-539-3024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2076 W MAIN ST",
            "city": "JEFFERSONVILLE",
            "state": "PA",
            "postal_code": "194033067",
            "telephone_number": "484-213-4513",
            "fax_number": "610-539-3024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COYLE",
        "first_name": "JOANNE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-30",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35S100579200",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS018063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, PA

Sources for this page

Verify at the official NPI Registry.